Family Weekend Registration 

Parent/Guardian Name:  

Address:  

City:  

State:  

Zip Code:  

Phone:  

Email:  

Are you a MSU Alumni? 

 Name of Alumni (include maiden name if applicable):  

Are you interested in receiving information about the MSU Family Association? 

1. Yes
2. No

Student Name:  

Student MSU ID:  

Name of Residence Hall (if applicable):